A new feasible technique of mesh-reinforced pancreatojejunostomy and pancreatogastrostomy: retrospective analysis of 61 cases

World Journal of Surgical Oncology

Technical Innovations

Wang Xianfa¹  Xin Ying¹  Pan Junhai¹  Zhang Nengyun¹  Zhou Wei¹ 

[1] Department of General Surgery, Sir Run Run Shaw Hospital, Medical School, Zhejiang University, Institute of Micro-invasive Surgery of Zhejiang University, No.3, Qin Chun Road, Hangzhou, China;

关键词: Pancreatogastrostomy;    Pancreatojejunostomy;    Mesh;   

DOI  :  10.1186/1477-7819-10-114

 received in 2012-01-19, accepted in 2012-05-20,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundPancreatic leak was the major concern after pancreatoduodenectomy.MethodsA total of 61 patients who underwent mesh-reinforced pancreatojejunostomy or pancreatogastrostomy from August 2005 to November 2011 were retrospectively analyzed.ResultsThe mean anastomosis time of mesh-reinforced pancreatojejunostomy was 25 minutes ranging from 22 to 35 minutes. In mesh-reinforced pancreatogastrostomy, the mean anastomosis time ranged from 20 to38 minutes with an average of 30 minutes. Blood loss was 200 to 4,000 ml with an average of 710 ml in all patients. There was one case of pancreatic leak of Class A, three cases of pancreatic leak of Class B, one case of pancreatic leak of Class C, one case of choledochojejunostomy leakage, one case of gastrojejunostomy leakage, and three cases of abdominal bleeding.ConclusionAs a new technique, mesh-reinforced pancreatojejunostomy and pancreatogastrostomy might be a safe and feasible procedure to prevent postoperative pancreatic leak.Trial registrationThis research is waivered from trial registration because it was a retrospective analysis of medical records.

【 授权许可】

Unknown   
© Xianfa et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.